H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013) - died

[Ronan Kelly]

machine translated;

Hebei occurred one case of human infection with H7N9 avian influenza confirmed cases
July 20, 2013 22:19:13 Source: Xinhua 0
Xinhua Shijiazhuang on July 20 (Reporter Gong Zhihong) reporter learned from the Health Department of Hebei Province, Hebei Province, the 20th pick Beijing Health Bureau Bulletin, one case was diagnosed in Hebei Province to Beijing for treatment of patients infected with human H7N9 avian influenza confirmed cases.
Patients from Langfang City, female, aged 61, on July 10 in patients with cough, fever and other symptoms, the 13th doctor in Langfang City, a community hospital, 14-day visit to China Pipeline Bureau, Langfang General Hospital, diagnosed with severe pneumonia, symptomatic treatment without improvement. Patients in at 14:38 on July 18 by the local 120 referral to Beijing Chaoyang Hospital. July 20, the Beijing Municipal Center for Disease Control laboratory review, test results for the H7N9 avian influenza virus nucleic acid positive. Conduct of this case by the Beijing expert consultation, diagnosis of the human cases of H7N9 avian influenza infection. The patient in critical condition, are receiving treatment in Beijing.
After receiving notification, Hebei Health Department immediately sent a work team to the onset of the epidemic guidance to assist in emergency work and organize experts to carry out risk assessments, analyzing the epidemic situation. Currently, Langfang city health department is implementing a patient in close contact tracing and medical observation, surveillance and other emergency measures.
http://news.xinhuanet.com/local/2013-07/20/c_116621032.htm

 

[Giuseppe]

H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Ifeng, full page in Chinese: (LINK). Automatic translation.]


H7N9, Beijing: An Hebei woman diagnosed with bird flu

At 22:43 on July 20 2013 Source: China News Network


Original title: Hebei occurred in 1 case confirmed cases of H7N9 avian influenza treatment currently in Beijing

BEIJING, July 20, according to Health Department of Hebei Province, news website, then Beijing Municipal Health Bureau on July 20 briefing, one case was diagnosed in Hebei Province to Beijing for treatment of patients infected with human H7N9 avian influenza confirmed cases.

Langfang City, Hebei Province, Zhang patient, female, aged 61, on July 10 in patients with cough, fever and other symptoms, July 13, the patient received treatment in Langfang City, a community hospital, July 14, received treatment in China Pipeline Bureau, Langfang General Hospital, diagnosed with severe pneumonia, symptomatic treatment without improvement. At at 14:38 on July 18 by the local 120 referral to Beijing Chaoyang Hospital.

July 20, the Beijing Municipal Center for Disease Control laboratory review, test results for the H7N9 avian influenza virus nucleic acid positive. The Beijing municipal expert for consultation in this case, the diagnosis of the human cases of avian influenza confirmed cases of H7N9 infection. The patient in critical condition, are Beijing active treatment.

After receiving the report, the Health Department of Hebei Province attaches great importance to immediately dispatched charge rushed to the local Office of the leadership and expert guidance to assist in epidemic emergency work; studying and implementing various measures to deal with the epidemic; organize experts to carry out risk assessments, analyzing the epidemic situation. Currently, Langfang city health departments are in accordance with the requirements of my Office, continue to implement tracing close contacts of patients and medical observation, surveillance and other emergency measures.


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[Ronan Kelly]

Re: Hebei, New H7N9 patient; F/61

Re: Hebei, New H7N9 patient; F/61

Additional human case of avian influenza A(H7N9) in Hebei notified by NHFPC



Hong Kong (HKSAR) - The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the National Health and Family Planning Commission (NHFPC) an additional human case of avian influenza A(H7N9) in Hebei today (July 20) affecting a 61-year-old woman.

The patient developed cough andfever on July 10 and sought medical attention at a local hospital for further management on July 13. She was transferred to a hospital in Beijing on July 18 and she is currently in critical condition.

The patient's respiratory specimen tested positive for avian influenza A(H7N9) virus upon laboratory testing by the Beijing health authority.

To date, a total of 133 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including Zhejiang (46 cases), Shanghai (33 cases), Jiangsu (28 cases), Jiangxi (six cases), Fujian (five cases), Anhui (four cases), Henan (four cases), Shandong (two cases), Hunan (two cases), Beijing (two cases) and Hebei (one case).

A DH spokesman remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization.

Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan, Beijing, Shandong, Jiangxi, Fujian, Hunan, Hebei or Guangdong, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.

"Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.

The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds or their droppings.

If contact has been made, they should thoroughly wash their hands with soap and water.

Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:

* Poultry and eggs should be thoroughly cooked before eating;
* Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
* Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
* Avoid crowded places and contact with fever patients; and
* Wear a mask when respiratory symptoms develop or when taking care of fever patients.

The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) for further information.


Source: HKSAR Government
http://www.google.com/#tbs=qdr:d&sc...y5EQ0A.O&fp=16c24e564e65ffe3&biw=1024&bih=653

 

[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Municipality of Beijing Department of Health, full page in Chinese: (LINK). Automatic translation.]


H7N9, Beijing: One new confirmed case of bird flu

Time :2013 -07-20 Source: Emergency Management Office of Beijing Municipal Health Bureau


July 20, 2013, one case of treatment of patient in Hebei Province to Beijing Chaoyang Hospital in Beijing confirmed human infection of H7N9 avian influenza.

Currently, patients in critical condition, Beijing Chaoyang Hospital, the patients were placed in respiratory intensive care unit for rescue. Beijing Municipal Health Bureau on the patient treatment and epidemic prevention and control of the deployment, and the report confirmed cases of the National Health and Family Planning Commission, informed the Health Department of Hebei Province. It is reported that Hebei Province Health Department has deployed conduct epidemiological investigations and on-site processing.

Patients, female, 61 years old, living in Langfang Anci. July 10, 2013 cough, fever and other symptoms, self-test temperature 38 ℃, self oral medication, the symptoms are not alleviated. July 13, the patient received treatment in Langfang City, a community hospital, outpatient infusion therapy. July 14, patients still have fever (maximum temperature 40.0 ℃), with cough, sputum, yellow phlegm, sputum difficult to expectorate, when accompanied by chills, treatment in Langfang, China Petroleum Pipeline Bureau General Hospital, diagnosed as severe Pneumonia, for outpatient infusion therapy. July 15, patients in the China Petroleum Pipeline Bureau, Langfang General Hospital inpatient treatment, chest X-ray showed left lung pneumonia. Has given a variety of antibiotics anti-infection treatment, no improvement in symptoms appear severe cough, pink frothy sputum, dyspnea, chest X-ray shows lung inflammation shooting again, sicker. At 14:38 on July 18, ? patient referred to by the local Beijing Chaoyang hospital, diagnosed as pneumonia, acute respiratory distress syndrome. At 18:30 on July 18, further aggravate symptoms, difficulty breathing, transferred to the intensive care unit, giving mechanical ventilation therapy.

July 19, Chaoyang Hospital for patients with H7N9 avian influenza virus detection, the result is positive, then sending the specimen to CDC, Beijing Review, 20 am Beijing CDC review of the patient H7N9 avian influenza virus nucleic acid positive. July 20 morning, the Beijing Municipal Health Bureau organized expert consultation, combined with the results of the review City CDC, diagnosed the patient with severe human infection of H7N9 avian influenza cases. Merge diagnosis: viral pneumonia, acute respiratory distress syndrome, severe sepsis, acute kidney injury, disseminated intravascular coagulation.

According to preliminary epidemiological investigation, the patient on June 30 to July 9 daily home about 500 meters near the jolly, the live poultry markets stalls. Patients June 30 to July 18 in Beijing before, never left Langfang City. Currently nine family members of patients with close contacts no abnormal symptoms.

This cases diagnosed, Beijing Municipal Health Bureau promptly report to the National Health and Family Planning Commission, informed the Health Department of Hebei Province, Chaoyang hospital to rescue the patient requires strict protective isolation medical staff do a good job of respiratory medical personnel and patients in ICU do health monitoring, while human infection H7N9 bird flu prevention and control work to make arrangements for the deployment.

Currently, the health department is in close contact with the patient in Beijing who implement medical observation; once the patient to stay in Beijing after disinfecting premises; family members of patients and close contacts of infectious respiratory protection knowledge to carry out missionary work.


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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Centre for Health Protection, Hong Kong PRC SAR, full page: (LINK).]


Additional human case of avian influenza A(H7N9) in Hebei notified by NHFPC


The Centre for Health Protection (CHP) of the Department of Health (DH) has been notified by the National Health and Family Planning Commission (NHFPC) an additional human case of avian influenza A(H7N9) in Hebei today (July 20) affecting a 61-year-old woman.

The patient developed cough and fever on July 10 and sought medical attention at a local hospital for further management on July 13. She was transferred to a hospital in Beijing on July 18 and she is currently in critical condition.

The patient's respiratory specimen tested positive for avian influenza A(H7N9) virus upon laboratory testing by the Beijing health authority.

To date, a total of 133 human cases of avian influenza A(H7N9) have been laboratory confirmed in the Mainland, including:

1. Zhejiang (46 cases),
2. Shanghai (33 cases),
3. Jiangsu (28 cases),
4. Jiangxi (six cases),
5. Fujian (five cases),
6. Anhui (four cases),
7. Henan (four cases),
8. Shandong (two cases),
9. Hunan (two cases),
10. Beijing (two cases) and
11. Hebei (one case).

A DH spokesman remarked that the CHP is closely monitoring the situation and maintaining close liaison with the Mainland health authorities for case details, as well as keeping a close eye on the latest advice from the World Health Organization.

Travellers, especially those returning from Shanghai, Jiangsu, Zhejiang, Anhui, Henan, Beijing, Shandong, Jiangxi, Fujian, Hunan, Hebei or Guangdong, with fever or respiratory symptoms are reminded to immediately wear facial masks, seek medical attention, and reveal their travel history to doctors. Health-care professionals should also pay special attention to patients who might have had contact with birds, poultry or their droppings in affected areas.

"Locally, no confirmed human cases of avian influenza A(H7N9) have been recorded so far," the spokesman stressed.

The spokesman urged travellers not to visit wet markets with live poultry in the affected areas and to avoid direct contact with poultry, birds or their droppings. If contact has been made, they should thoroughly wash their hands with soap and water.

Members of the public should remain vigilant and are reminded to take heed of the following preventive advice against avian influenza:

• Poultry and eggs should be thoroughly cooked before eating;
• Wash hands frequently with soap, especially before touching the mouth, nose or eyes, handling food or eating; after going to the toilet or touching public installations or equipment such as escalator handrails, elevator control panels or door knobs; or when hands are dirtied by respiratory secretions after coughing or sneezing;
• Cover the nose and mouth while sneezing or coughing, and hold the spit with a tissue and put it into a covered dustbin;
• Avoid crowded places and contact with fever patients; and
• Wear a mask when respiratory symptoms develop or when taking care of fever patients.

The public may visit the CHP's avian influenza page (www.chp.gov.hk/en/view_content/24244.html) for further information.


Ends/Saturday, July 20, 2013
Issued at HKT 22:55
NNNN


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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Ifeng, full page: (LINK). Automatic translation from Chinese.]


H7N9, Hebei found the first case of human infection with avian influenza

At 22:54 on July 20th, 2013 Source: China News Network


Original title: Hebei found one case of human infection with the H7N9 avian influenza

BEIJING, July 20 Shijiazhuang electricity (Shenling Min) According to the Health Department of Hebei Province at 19:55 on the 20th revealed, then the Beijing Municipal Health Bureau on July 20 briefing, Hebei Province, one case went to Beijing for treatment of patients infected with H7N9 bird man was diagnosed confirmed cases of influenza, which is the province's first.

According to reports, the patient was Langfang City, Hebei Zhang, female, 61 years old.

July 10, the patient cough, fever and other symptoms;

July 13, received treatment in Langfang City, a community hospital;

July 14, received treatment in China Pipeline Bureau, Langfang General Hospital, diagnosed with severe pneumonia, symptomatic treatment without improvement;

July 18 at 14:38 on the 18th, by the local 120 referral to Beijing Chaoyang Hospital.

July 20, the Beijing Municipal Center for Disease Control laboratory review, test results for the H7N9 avian influenza virus nucleic acid positive.

The Beijing municipal expert for consultation in this case, the diagnosis of the human cases of avian influenza confirmed cases of H7N9 infection.

Currently, patients in critical condition, are Beijing active treatment.

After receiving the report, the Health Department of Hebei Province attaches great importance to immediately dispatched charge rushed to the local Office of the leadership and expert guidance to assist in epidemic emergency work; studying and implementing various measures to deal with the epidemic; organize experts to carry out risk assessments, analyzing the epidemic situation.

Currently, Langfang City, Hebei Province, the health sector is in accordance with the Health Department requirements, continue to implement tracing close contacts of patients and medical observation, surveillance and other emergency measures.

Earlier, according to media publicly reported, since February this year, the Chinese mainland reported a total of 132 cases of H7N9 confirmed cases, including 43 deaths. Hebei human infection with H7N9 avian influenza The confirmed case is the province's first.

China National Health and Family Planning Commission said earlier that people infected with H7N9 bird flu outbreak since China established a multi-sectoral mechanism for joint prevention and control work, make every effort to treat patients, strengthen epidemic surveillance and judged the situation, taken off the city of live poultry markets, specification transporting live poultry, such as integrated source of infection control measures, and with the World Health Organization to maintain close communication and cooperation. Since June this year, the Commission on the 10th of each month (every holiday adjustment time) release of human infection with H7N9 bird flu information. (End)


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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Langfang City, Hebei - Google Maps

 

[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: RTHK, full page in Chinese: (LINK). Automatic translation.]


Hong Kong informed of a new H7N9 human case in Hebei

2013-07-20 HKT 23:04


CHP National Health and Family Planning Commission Bulletin, Hebei add a human infection with H7N9 avian influenza. The patient, a 61-year-old woman, on the 10th this month cough and fever, the 13th to the local hospitals for treatment and for treatment and subsequently at the 18th go to a hospital in Beijing, is currently in critical condition.


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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Ifeng, full page: (LINK). Automatic translation from Chinese.]


Close Contacts of the first Hebei H7N9 birdflu case asymptomatic so far

At 22:52 on July 20th, 2013 Source: China News Network


Original title: Hebei H7N9 avian influenza in close contacts of patients with 9 no abnormal symptoms

Beijing BEIJING, July 20 (Reporter Du Yan) reporter evening of 20 from the Beijing Municipal Health Bureau, one case of treatment of patients in Hebei Province to Beijing Chaoyang Hospital in Beijing confirmed human infection of H7N9 avian influenza. Currently, patients in critical condition, in the respiratory intensive care unit for rescue.

The 20th Beijing Municipal Health Bureau said that the patient was a 61-year-old woman, living in Langfang City, the District. July 10 this year, cough, fever and other symptoms, self-test temperature 38 ℃, self oral medication, the symptoms are not alleviated. July 13, the patient received treatment in Langfang City, a community hospital, outpatient infusion therapy. July 14, patients still have symptoms of fever, the highest temperature 40.0 ℃, with cough, sputum, yellow phlegm, sputum difficult to expectorate, when accompanied by chills, treatment in Langfang, China Petroleum Pipeline Bureau General Hospital, diagnosed as severe pneumonia given outpatient infusion therapy. July 15, patients in the China Petroleum Pipeline Bureau, Langfang General Hospital inpatient treatment, chest X-ray showed left lung pneumonia. Has given a variety of antibiotics anti-infection treatment, no improvement in symptoms appear severe cough, pink frothy sputum, dyspnea, chest X-ray shows lung inflammation shooting again, sicker. At 14:38 on July 18, 120 patients referred to by the local Beijing Chaoyang hospital, diagnosed as pneumonia, acute respiratory distress syndrome. At 18:30 on July 18, further aggravate symptoms, difficulty breathing, transferred to the intensive care unit, giving mechanical ventilation therapy.

July 19, Beijing Chaoyang Hospital for patients with H7N9 avian influenza virus detection, the result is positive, then sending the specimen to CDC, Beijing Review, 20 am Beijing CDC review of the patient H7N9 avian influenza virus nucleic acid positive.

July 20 morning, the Beijing Municipal Health Bureau organized expert consultation, combined with the results of the review City CDC, diagnosed the patient with severe human infection of H7N9 avian influenza cases, combined diagnosis: viral pneumonia, acute respiratory distress syndrome, severe sepsis, acute kidney injury, disseminated intravascular coagulation.

According to preliminary epidemiological investigation, the patient on June 30 to July 9 daily home about 500 meters near the jolly, the live poultry markets stalls.

Patients June 30 to July 18 in Beijing before, never left Langfang City.
Currently nine family members of patients with close contacts no abnormal symptoms.

Beijing Municipal Health Bureau said that patients have been treatment and epidemic prevention and control of the deployment, and the report confirmed cases of the National Health and Family Planning Commission, informed the Health Department of Hebei Province. It is reported that Hebei Province Health Department has deployed conduct epidemiological investigations and on-site processing.

Currently, the health department is in close contact with the patient in Beijing who implement medical observation; once the patient to stay in Beijing after places for disinfection. (End)


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[Vibrant62]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

I find this statement a little concerning

July 19, Chaoyang Hospital for patients with H7N9 avian influenza virus detection, the result is positive, then sending the specimen to CDC, Beijing Review, 20 am Beijing CDC review of the patient H7N9 avian influenza virus nucleic acid positive. July 20 morning, the Beijing Municipal Health Bureau organized expert consultation, combined with the results of the review City CDC, diagnosed the patient with severe human infection of H7N9 avian influenza cases. Merge diagnosis: viral pneumonia, acute respiratory distress syndrome, severe sepsis, acute kidney injury, disseminated intravascular coagulation.

A recent trial found that low path H7N9 had respiratory tissue tropism only. Could this case involve a high path mutation which would cause multi-tissue tropism? I hope that they sequence and publish this information.

 

[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

The multi-organ failures is likely due to the ARDS and septic shock.

 

[sharon sanders]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

FluTrackers H7N9 Updated Case List here.

 

[tetano]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Beijing New confirmed human infection H N 7 9 avian flu cases increase

CNS, Beijing, July 21 (reporter Du Yan)-20th and one patient in Hebei province to Beijing Chaoyang hospital in Beijing diagnosed human cases of infection h7n9 avian influenza.　　21st, with aggravation, hospitals targeted treatment programmes are in place. Vice President of the Beijing Chaoyang hospital, respiratory Department Director Tong ZhaoHui 21st presentation, the patient was a farmer, female, 61 years old, lived in Langfang city, Hebei province. July 13, no obvious cause fever, body temperatures of up to 40 degrees centigrade. Diagnosis and treatment of local, his condition has not improved and increased. July 18 patients from the local to the Beijing Chaoyang hospital fever clinic, due to critical condition at 6 o'clock in the afternoon the respiratory intensive care wards. 20th, 6 experts on-site consultation of the patient, confirmed as the most important man in patients with infection h7n9 avian flu, viral pneumonia, acute respiratory distress syndrome, infection toxic shock, acute renal failure, and disseminated intravascular coagulation.　　Hospital for the first time given the antiviral drug treatment, and to the condition of tracheal intubation, extracorporeal membrane oxygenation support for.　　He claims that on 19th, patients in the hospital on h7n9 avian influenza virus detection of positive results, specimen is then sent to the CDC in Beijing review, 20th, CDC review results were still positive. Tong ZhaoHui said that the patients are in critical condition, 21st, the hospital organization hospital specialist consultations again and follow the expert group consultation, for the treatment of patients with the next targeted programmes. 1807: page paintings made by the press at the same time, hospital, Chaoyang District, Beijing, CDC and CDC support, including with the assistance of family members and health care workers who had close contacts with the necessary testing, prophylaxis, and isolation.　　Current contacts of abnormal body temperature or symptoms have been detected. For cases of human infection with the avian influenza virus occurred in the summer, Tong ZhaoHui said that this confirmed case is an emerging, epidemiology also needs further exploration. As to whether the virus variation occurs, want the lab to further detect and contrast. (End) /enpcontent the original title [new aggravation of confirmed human infection H7N9 avian flu cases in Beijing]

http://health.gmw.cn/dzb/2013-07/21/content_1820393.htm

 

[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: ProMedMail.org, full page: (LINK). Edited.]


Published Date: 2013-07-20 18:36:09 / Subject: PRO/AH/EDR> Avian influenza, human (100): China (BJ) H7N9, new case, RFI / Archive Number: 20130720.1836376

AVIAN INFLUENZA, HUMAN (100): CHINA (BEIJING), H7N9, NEW CASE, REQUEST FOR INFORMATION


A ProMED-mail post http://www.promedmail.org / ProMED-mail is a program of the International Society for Infectious Diseases http://www.isid.org

Date: Sat 20 Jul 2013 / Source: Ce.cn [in Chinese, trans. by submitter, edited] http://www.ce.cn/xwzx/gnsz/gdxw/201307/20/t20130720_24591671.shtml

A 61-year-old female has been confirmed as a case of H7N9 avian influenza virus infection in Beijing by Beijing CDC on Sat 20 Jul 2013. She is a resident of Langfang Shi, a city between Beijing and Tianjing [in Hebei Province]. She developed fever on 10 Jul 2013 and was diagnosed as a case of severe pneumonia on 13 Jul 2013. She was transferred to Beijing Chaoyang Hospital on 18 Jul 2013. The patient is in serious condition and being treated.

--

Communicated by: JL (full name not available) / gzynjl@hotmail.com / Yunnan Provincial Center for Disease Control

[This is an alarming development, perhaps heralding a resurgence of the outbreak of avian influenza H7N9 virus infection which was believed to have terminated in May 2013, or perhaps a case of exposure to a bird market that had escaped veterinary surveillance. Detailed information is awaited. - Mod.CP]

[Further details and confirmation are awaited. - Mod.LM A HealthMap/ProMED-mail map can be accessed at: http://healthmap.org/r/6iIQ.]

(?)


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[The case has been confirmed by Beijing Municipality Health Department (http://www.bjhb.gov.cn/wsxw/201307/t20130720_62841.htm ). Provided that this is an alarming recurrence, the case in not unexpected since the virus is circulating among China Mainland poultry at an unknown extent - although summer season sees less avian influenza viruses activity than in cold weather. No data is available on the situation of large industrial combined poultry farms, where the virus possibly has it roots and there are not OIE reports about serological analysis of these animals or other surveillance activities involving such kind of business. Couple with the summer seasonal influenza peak in Southern China, a rebound of human H7N9 infections aren't unexpected and perhaps warranted. GM]

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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Ifeng, full page in Chinese: (LINK). Extract, automatic translation.]


H7N9, Beijing: Close contacts of the 1st Hebei patient put under surveillance

(?)


Beijing Chaoyang Hospital, vice president Tong Zhaohui said that currently exists that [the Hebei] patient [suffers] with multiple organ failure situation, the hospital has developed a targeted treatment programs.

With the disease control department of Beijing Chaoyang Hospital, family members of the patient and health care workers, including several close contacts [are being] tested, [administered] preventive medication and [put under] isolation.

So far, [among the close contacts] Has not yet found an abnormal temperature or symptomatic contacts.

Previously there have been experts believe, H7N9 avian influenza virus may gradually disappear as the temperature increases. Now, however, appeared in the summer of Hebei case of human infection of H7N9 avian influenza.

In this regard, Tong Zhaohui said that we H7N9 avian influenza virus epidemiology, there is a need to continue to explore.


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[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: Taipei Centre for Disease Control and Prevention, full page in Chinese: (LINK). Automatic translation.]


H7N9, China: 1st Hebei confirmed case announced


Mainland China Hebei add one case H7N9 influenza cases, has suggested raising the mainland Hebei Tourism epidemic for the second stage: Warning (Alert). Command Center continued to strengthen airport and port quarantine, urged people to pay attention abroad prevention, and calls upon physicians to be vigilant

(2013-07-21)

Command Center said the World Health Organization this morning received a notification, Hebei Province in China on the 20th of this month reported the first case of H7N9 confirmed cases of influenza . China Hebei Tourism epidemic has been promoted to the second stage proposal: Warning (Alert), remaining provinces (excluding Hong Kong and Macao) remains the first level: Note (Watch), reminding people plan to maintain good health habits to avoid contact with birds.

Cases were living in Langfang City, Hebei Province 61 -year-old woman, on July 10 cough, fever and other symptoms, medical procedures due to disease progression, July 18 referrals to the Beijing Chaoyang Hospital, and is currently in critical condition in the hospital for active treatment medium.

After preliminary investigation, the case go to Beijing for medical treatment before, never leave the place of residence, on 6/30-7/9 daily to the neighborhood of live poultry stalls within the markets to buy food, currently nine patient?s close contacts have not abnormal symptoms.

Mainland China has accumulated a total of 133 confirmed cases, including 43 cases of death, mortality rate of about 32%.

Domestic H7N9 influenza surveillance, since 4 months 3 days so far, " H7N9 flu "reported cases of [suspected] 435 cases, including one confirmed cases, 434 cases excluded from H7N9 infection (including 55 cases were found to H1N1 , 39 cases were found to H3N2 , 6 cases of prosecution the B -type) ; border quarantine since six months a date date, returning from epidemic areas of visitors have symptoms at entry 423 cases, including two cases should evacuation.

Command Center pointed out that this is the Chinese mainland since the end of May, after , again reported the first example of H7N9 influenza confirmed cases, display H7N9 influenza virus persistence environment, H7N9 flu threat has not been lifted, should remain vigilant.

In addition to continuing to strengthen national implementation and monitoring of mainland China's quarantine act within 14 days for a fever and had to travel in China, especially those with a history of exposure to poultry, quarantine officers will be sent to hospital for help after treatment.

Also today, the medical community will also be re-issued a circular to remind physicians that meet the definition of a patient reported H7N9 flu, health authorities should be notified promptly, and to strengthen the hospital's infection control measures.

In addition, the COA has continued to strengthen monitoring of domestic birds, and the other for the May announcement of traditional markets and ban live poultry slaughter ban trafficking policy, the command center will also continue to supervise inspection.

Command center to remind people, travel to mainland China, should avoid contact with poultry category, in particular not to pick up dead birds; edible chickens, ducks, geese (including eggs) should pay attention to is completely cooked; and personal hygiene such as washing hands should implement measures to avoid infection.

When returning as fever or flu-like symptoms, they should inform the airline personnel and airport and port quarantine officers; After returning as the above symptoms, you should wear a mask doctor immediately and tell your doctor travel history, lodged by physicians to provide appropriate medical services.

Recent outbreaks of infectious diseases and other tourism-related information can refer to the CDC website (http://www.cdc.gov.tw) the "H7N9 flu zone" and the "International Travel Information" area, or call toll-free public Disease Reporting and Care Line 1922 contact, such as phone can not make simple code phone number, please dial 0800-001922 prevention hotline.


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[Giuseppe]

H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[Source: World Health Organization, full page: (LINK). Edited.]


Human infection with avian influenza A(H7N9) virus ? update

20 JULY 2013


The National Health and Family Planning Commission, China notified WHO of an additional laboratory-confirmed case of human infection with avian influenza A(H7N9) virus. This is the first new confirmed case of human infection with Influenza A(H7N9) since 29 May 2013.

The patient is a 61 year-old woman from Langfang City in Hebei Province who became ill on 10 July 2013. She was admitted to a local hospital from 10-15 July and transferred to a hospital in Beijing on 18 July . She is in a critical condition. On 20 July 2013, Beijing Municipal Center for Disease Control (CDC) confirmed H7N9 by nucleic acid detection.

To date, WHO has been informed of a total of 134 laboratory-confirmed human cases with avian influenza A(H7N9) virus including 43 deaths. Four cases are hospitalized and 87 have been discharged.

So far, there is no evidence of sustainable human to human transmission.

The Chinese government continues to take strict monitoring, prevention and control measures, including: Strengthening of epidemic surveillance and analysis; deployment of medical treatment; conducting public risk communication and information dissemination; strengthening international cooperation and exchanges; and is continuing to carry out scientific research.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions.


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[Biological]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Hebei Province Health Department, Health News, Hebei occurred one case of human infection with H7N9 avian influenza confirmed cases, 20 July 2013

Then Beijing Municipal Health Bureau on July 20 briefing, one case was diagnosed in Hebei Province to Beijing for treatment of patients infected with human H7N9 avian influenza confirmed cases.

　　Langfang City, Hebei Province, Zhang patient, female, aged 61, on July 10 in patients with cough, fever and other symptoms, July 13, the patient received treatment in Langfang City, a community hospital, July 14, received treatment in China Pipeline Bureau, Langfang General Hospital, diagnosed with severe pneumonia, symptomatic treatment without improvement. At at 14:38 on July 18 by the local 120 referral to Beijing Chaoyang Hospital. July 20, the Beijing Municipal Center for Disease Control laboratory review, test results for the H7N9 avian influenza virus nucleic acid positive. The Beijing municipal expert for consultation in this case, the diagnosis of the human cases of avian influenza confirmed cases of H7N9 infection. The patient in critical condition, are Beijing active treatment.

　　After receiving the report, the Health Department of Hebei Province attaches great importance to immediately dispatched charge rushed to the local Office of the leadership and expert guidance to assist in epidemic emergency work; studying and implementing various measures to deal with the epidemic; organize experts to carry out risk assessments, analyzing the epidemic situation. Currently, Langfang city health departments are in accordance with the requirements of my Office, continue to implement tracing close contacts of patients and medical observation, surveillance and other emergency measures.

http://www.hebwst.gov.cn/index.do?id...con_news&cid=2

Hebei Province Health Department, Health News
http://www.hebwst.gov.cn/index.do?templet=index

 

[Shiloh]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Source: http://wireupdate.com/chinese-woman-diagnosed-with-h7n9-bird-flu-first-case-since-may.html

Chinese woman diagnosed with H7N9 bird flu, first case since May
Posted about 51 mins ago | 0 comment

BEIJING, CHINA (BNO NEWS) -- A Chinese woman has been diagnosed with the H7N9 bird flu virus that emerged in China earlier this year, the government said on Saturday, making it the first confirmed case since May when the closure of live poultry markets and higher temperatures led to a decrease in cases.

China's National Health and Family Planning Commission said laboratory tests confirmed a 61-year-old woman from northern Hebei province is suffering from the new strain of avian influenza. She developed cough and fever on July 10 and sought treatment at a local hospital on July 13, before being transferred on Thursday to a Beijing hospital where she remains in a critical condition.

It is the first confirmed case of the new bird flu virus in Hebei province, and the first case overall since May 29. It raises the number of laboratory-confirmed cases since the outbreak began in February to 133, all but one of them in China, and includes 43 fatalities. Four people are believed to remain in hospital.

The closure of live poultry markets, public awareness and warmer weather are believed to have ended the initial outbreak, but health authorities fear the disease may follow a seasonal outbreak pattern and return later this year when the colder weather will allow more frequent transmission in poultry and to humans...

 

[Giuseppe]

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

Re: H7N9, Beijing: An Hebei woman diagnosed with bird flu (Ifeng, July 20 2013)

[NOTE from the Mod.:

-- According the text translated below it should be possibly that:

--- Two of the close contacts of the confirmed Hebei patient died allegedly from advanced stage cancer; all other contacts are so far fine;

--- Some of the environmental samples collected from live poultry market where the confirmed case used to go for shopping tested positive for H7N9;

An enhanced translation would help. GM.]

[Source: Ifeng, full page: (LINK). Automatic translation from Chinese.]


H7N9, Hebei: Follow-up activities after bird flu confirmed case discovery

At 21:07 on July 21, 2013 Source: China News Author: Songmin Tao, Xu Likun


Core Tip: Langfang in the integrated market trading of live poultry out of the H7N9 virus has been detected. Currently, Langfang City, has integrated market in the layout of the city's farmers live poultry trading disinfection, prevention and control measures such as closed.
Original title: Hebei first Avian influenza: a sewage birds tested positive trading stalls

BEIJING, July 21 Langfang Electric (Song Mintao, Xuli Kun) Langfang City, Hebei Province, the 21st official informed that appear Hebei Langfang against H7N9 bird flu first issue, the city has started a public health emergency four emergency response, and published in the course of handling the matter found to have a poultry trade stalls sewage positive test results.

Close contact with the patient population, in addition to two close contacts due to advanced cancer deaths, the remaining 28 people are currently no exception.
​

21 pm, Langfang Langfang prevention and control work leading group on the first case of H7N9 bird flu appeared Hebei held a news conference regarding the patient, and published in the course of handling the matter found to have a poultry trade stalls sewage positive test results.

Langfang Municipal Health Bureau Party Committee member, the system union president Chengyu Qiu said, "for the incident, the group took a total of five measures to deal with, first, launched four emergency public health emergency response, the establishment of prevention and control work leading group;

followed of close contacts has tracked the survey, in addition to two close contacts due to advanced cancer deaths, the remaining 28 people are currently no abnormalities;

Third, the implementation of the zero newspaper daily system;

fourth, collecting samples to carry out laboratory testing of 53 samples detected the external environment in which a positive;

Finally, the patient's home and disinfect medical institutions for treatment and other health treatment. "

According to the introduction, until at 0:00 on July 21, in the detection of the external environment specimens found to have a foreign environment specimens tested positive.

Chengyu Qiu said: "The next step we must first work to further strengthen joint prevention and control mechanism, strengthen the close contacts under medical observation, to strengthen the clinical staff H7N9 knowledge training, prevention and control knowledge to do publicity, but also on all currently hospitalized with severe cases of pneumonia, unexplained pneumonia cases for all sampling and testing, in addition to close City live bird markets. "

After the conference, the reporter came to the patient a few days before the onset of depression every day of Langfang City wheat markets.

Reporters in the vegetable market to see all the live poultry have been locked in a cage, only one stall guarding. "Yesterday afternoon, someone to tell us not to sell chickens, ducks, and not let kill, and now we are in, etc. This does not, the other stall holders have to go back to sleep, leave me here looking at something."

An merchant surnamed Han told reporters.

Mr. Han said the three live bird markets Maiwa booth staff have done a blood test.

Chengyu Qiu introduction, the patient was a 61-year-old woman, Zhangjiakou people living in Langfang Anci. July 10, patients with cough, fever and other symptoms, self-oral medication, no improvement. July 13, Anci Area with clinics in infusion therapy, the symptoms do not improve. July 14, received treatment in Langfang, China Petroleum Pipeline Bureau General Hospital, symptomatic treatment without improvement. July 20, the Beijing Municipal Center for Disease Control laboratory review, test results for the H7N9 avian influenza virus nucleic acid positive. The Beijing municipal expert consultation, diagnosis, human infection of H7N9 avian influenza confirmed cases. (End)


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